Individual
RYAN M ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2224
(817) 321-0404
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3194
(817) 321-0404
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R6728
TX
2085R0204X
Vascular & Interventional Radiology Physician
R6728
TX
Other
Enumeration date
06/11/2012
Last updated
12/05/2018
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